Individual
CASSANDRA DIANE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OCEAN AVE, RAYMOND, WA 98577-3016
(360) 942-2303
(360) 942-5312
Mailing address
300 OCEAN AVE, RAYMOND, WA 98577-3016
(360) 942-2303
(360) 942-5312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/08/2018
Last updated
04/10/2024
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